| NPI | 1962614479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES JOSEPH REINERSMAN President Owner 618-462-2607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-015837) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2016-07-25 |